SierrasDarkDesires.com Membership Mail Order Form

Please print, read, agree by signature, and enclose this form with
your check or US money order, proof of legal age, and mail to:

PW Enterprises
P.O. Box 192
Shell lake, WI 54871

United States of America

Upon signing this form, you are agreeing that you are of legal age in your area of residence!! Once signed, you have agreed to the terms and conditions listed below.

Terms and Conditions:      

1. I AGREE THAT I AM OF LEGAL ADULT AGE IN MY STATE OR COUNTRY OF MY RESIDENCE.
2. I PROMISE I WILL NOT PERMIT ANY PERSON WHO IS NOT OF LEGAL AGE TO ENTER OR HAVE ACCESS TO THE CONTENT OR MATERIAL INSIDE THIS SITE!!
3. I RELEASE AND DISCHARGE THE PROVIDERS, OWNERS, AND CREATORS OF THIS SITE FROM ANY AND ALL LIABILITIES WHICH MAY ARISE!
4. UNDER PENALTY OF PERJURY, I SWEAR THAT AT THIS MOMENT I AM AN ADULT IN THE STATE OR COUNTRY OF MY RESIDENCE!
5. BY SIGNING THIS FORM, YOU ARE IN FULL AGREEMENT!

Signature: _____________________________  Date: _________


Please enclose a photo copy of your drivers license or other legal picture ID showing proof of your age. You must be at least 18 years of age to purchase any services from SierrasDarkDesires.com


Name:   

_________________________________

E-mail:   

_________________________________

User ID (Login):   

_____________

Password:   

_____________



Order

Membership Length Option:


1 Month


3 Months


Cost:


 $24.95


 $39.95



NOTE:  All currency must be in US funds. Make checks and US money orders out to PW Enterprises. Checks may be held for up to ten (10) business days for funds to clear.